Principles of the DASH Diet - PAMF

1 Principles of the dash diet About the dash diet Research has shown that following a healthy eating plan can both reduce the risk of developing high blood pressure and lower an already-elevated blood pressure. For an overall eating plan, consider the dash diet . " dash " stands for "Dietary Approaches to Stop Hypertension," a clinical study that tested the effects of nutrients in food on blood pressure. Study results indicated that elevated blood pressures were reduced by an eating plan that emphasizes fruits, vegetables, and low-fat dairy foods as well as foods high in fiber and low in saturated fat, total fat and cholesterol. A second study showed that reducing the amount of sodium consumed lowers blood pressure.

2 The dash diet includes whole grains, poultry, fish, and nuts, and has reduced amounts of fats, red meats, sweets, sugar-containing beverages, and high-sodium processed foods. G uidelines for Managing Hypertens ion Reduce the sodium in your diet Choose fresh foods. Avoid adding salt at the table. Use herbs and spices liberally. Limit canned soups, frozen dinners and entrees and vegetables with sauces. If you must use these, get items labeled low sodium. You may rinse canned foods with water. Reduce your intake of bacon, sausage, hot dogs and luncheon meats such as corned beef, pastrami, bologna, ham, processed turkey and salami. Avoid smoked, pickled and cured foods.

3 Achieve a healthy body weight Reduce your calories by choosing low-fat foods and eating smaller portions. Increase dietary fiber. Try to get 25 to 35 grams of fiber daily. Engage in regular exercise: at least 30 minutes of aerobic exercise daily to maintain weight and at least 60 minutes of aerobic exercise at least five times a week to lose weight. Practice modifying unhealthy eating behaviors. Increase foods that are high in potassium , magnesium and fiber Eat at least four to five servings a day of whole fresh fruit and four to five servings a day of vegetables. A serving of vegetable or fruit is approximately cup cooked or one cup raw. Choose citrus fruit three times a week for potassium and fiber.

4 Include nuts, seeds, dried beans and peas at least four times a week for potassium , magnesium and fiber. Eat tomatoes, oranges, bananas and potatoes for extra potassium . Choose whole grains and whole grain products for fiber and magnesium. *Note do not take potassium supplements unless instructed by your doctor, and those with kidney disease need to speak with their doctor before increasing potassium in their diet . Increase foods that are high in calcium Choose low-fat or fat-free cheese and yogurts and non-fat or 1% milk products daily. If you are lactose intolerant, use Lactaid or lactose-reduced milk. If you do not eat dairy products, supplement your diet with calcium supplement.

5 Reduce caffeine Choose decaffeinated coffee, tea and diet sodas. If you do have caffeinated beverages, do not exceed two per day. Avoid caffeine-containing medications such as Anacin, Dristan, Excedrin Extra Strength, Midol, NoDoz and Vivarin. Drink adequate fluids A good rule of thumb is to drink eight cups of water per day. Fill up a pitcher of water and keep it on your desk or on the counter so that you are reminded to drink it. Quit smoking Reduce the numbers of cigarettes smoked. Seek assistance in quitting. Call 1-800-NOBUTTS. Discuss with your doctor. Take medication as directed by your doctor Do not skip your blood pressure medication. If you notice any side effects, notify your doctor.

6 NSAIDS appear to boost blood pressure in older people with hypertension. They may also blunt the action of certain antihypertensive medications. Discuss the use of NSAIDs, such as Ibuprofen (Advil, Motrin), naproxen (Aleve) and ketoprofen (Orudis-KT) with your doctor. Following the dash diet The dash eating plan shown below is based on 2,000 calories a day. The number of daily servings in a food group may vary from those listed depending on your caloric needs. Use this chart to help you plan your menus or take it with you when you go to the store. Daily Significance Food Group Servings Serving Sizes Examples and Notes of each food group to the plan Grains and 6-8 1 slice bread whole wheat bread, English major sources grain products -1 cup dry cereal muffin, pita bread, bagel, of energy and cup cooked rice, cereals, grits, oatmeal fiber pasta, or cereal Vegetables 4-5 1 cup raw leafy tomatoes, potatoes, peas, rich sources of vegetable carrots, squash, broccoli, potassium , cup cooked turnip greens, collards, magnesium vegetable kale, spinach, artichokes, and fiber 6 oz.

7 Vegetable juice beans, sweet potatoes Fruits 4-5 1 medium fruit apricots, bananas, dates, important cup dried fruit grapes, oranges, orange sources of cup fresh, frozen juice, grapefruit, grapefruit potassium , or canned fruit juice, melons, mangoes, magnesium 1/2 cup fruit juice peaches, pineapples, and fiber prunes, raisins, strawberries, tangerines Low-fat or fat- 2-3 1 cup milk skim or 1% milk, skim or major sources free dairy 1 cup yogurt low-fat buttermilk, nonfat or of calcium and 1 oz. cheese low-fat yogurt, part skim protein mozzarella cheese, nonfat cheese Meats, poultry 6 or less 1 oz. cooked meats, lean meats (trimmed of rich sources of and fish poultry or fish visible fat), broiled, roasted protein and 1 egg or 2 egg whites or baked; poultry with skin magnesium removed, limit egg yolk to four per week Nuts, seeds 4-5 per 1 oz.

8 Or 1/3 cup almonds, filberts, mixed rich sources of and legumes week nuts nuts, peanuts, walnuts, energy, 2 Tbsp. natural nut sunflower seeds, kidney magnesium, butter beans, lentils potassium , oz. or 2 Tbsp. protein and seeds fiber cup cooked legumes (dried beans or peas). Fats and oils 2-3 1 tsp. soft margarine, soft margarine, low-fat besides fats vegetable oil or mayonnaise, light salad added to regular mayonnaise dressing, vegetable oil foods, 1 Tbsp. low-fat (such as olive, canola, corn remember to margarine or or safflower) choose foods mayonnaise that contain 2 Tbsp. light salad less fat dressing Sweets 5 or less 1 Tbsp. sugar maple syrup, sugar, jelly, sweets should per week 1 Tbsp.

9 Jelly or jam jam, fruit-flavored gelatin, be low in fat ounce jelly beans jelly beans, hard candy, 1 cup lemonade fruit punch, sorbet, ices Source: The dash diet , NIH Publication No. 06-4082. (Rev. 12/10).